Study of an Orthotic Designed to Equalize Leg Lengths for Patients With Injuries Managed in Walking Boots
| Status: | Recruiting |
|---|---|
| Conditions: | Chronic Pain, Orthopedic |
| Therapuetic Areas: | Musculoskeletal, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 64 |
| Updated: | 2/24/2019 |
| Start Date: | July 16, 2018 |
| End Date: | August 16, 2019 |
| Contact: | Kamran S Hamid, MD |
| Email: | foot.research@rushortho.com |
| Phone: | 2246515524 |
Prospective Randomized-controlled Trial of an Orthotic Designed to Equalize Leg Lengths for Patients With Injuries Managed in Walking Boots
Patients who undergo foot and ankle surgery are often made weight-bearing as tolerated (WBAT)
in a controlled ankle movement (CAM) boot during their recovery and rehabilitation process.
However, some patients may experience pain and discomfort while wearing the CAM boot. A
possible cause for this pain is that the boot elevates the injured foot higher than the other
foot in the normal shoe. This uneven walking plane can lead to an abnormal gait or walking
pattern, and may potentially lead to pain. Our goal is the investigate if using a
leg-length-evening orthotic can improve balance and/or decrease the development of pain in
the legs and spine for patients who are WBAT in a CAM boot.
in a controlled ankle movement (CAM) boot during their recovery and rehabilitation process.
However, some patients may experience pain and discomfort while wearing the CAM boot. A
possible cause for this pain is that the boot elevates the injured foot higher than the other
foot in the normal shoe. This uneven walking plane can lead to an abnormal gait or walking
pattern, and may potentially lead to pain. Our goal is the investigate if using a
leg-length-evening orthotic can improve balance and/or decrease the development of pain in
the legs and spine for patients who are WBAT in a CAM boot.
Patients with foot and ankle injuries are often made weight-bearing as tolerated (WBAT) in a
controlled ankle movement (CAM) boot at some point during their recovery and rehabilitation
period. While WBAT in a CAM boot, patients often experience an asymmetric gait associated
with the effective leg length discrepancy between the booted extremity (longer) and the
contralateral extremity with a regular shoe (shorter). This asymmetry may cause balance
problems or place strain on the patient's joints resulting in back, knee, and hip pain.
An orthotic has been designed that is added to the outside of a regular shoe in order to
eliminate the effective leg length discrepancy between the booted extremity and the
contralateral limb. Although this specific orthotic has not been studied, some proof of
concept lies in studies that show that back pain can be managed with foot orthotics. The
purpose of this study is to determine if using the leg-length-evening orthotic can improve
balance and/or decrease the development of pain in the lower extremities and spine for
patients who are WBAT in a CAM boot.
controlled ankle movement (CAM) boot at some point during their recovery and rehabilitation
period. While WBAT in a CAM boot, patients often experience an asymmetric gait associated
with the effective leg length discrepancy between the booted extremity (longer) and the
contralateral extremity with a regular shoe (shorter). This asymmetry may cause balance
problems or place strain on the patient's joints resulting in back, knee, and hip pain.
An orthotic has been designed that is added to the outside of a regular shoe in order to
eliminate the effective leg length discrepancy between the booted extremity and the
contralateral limb. Although this specific orthotic has not been studied, some proof of
concept lies in studies that show that back pain can be managed with foot orthotics. The
purpose of this study is to determine if using the leg-length-evening orthotic can improve
balance and/or decrease the development of pain in the lower extremities and spine for
patients who are WBAT in a CAM boot.
Inclusion Criteria:
- must be weight bearing as tolerated and treated for at least 2 weeks in a controlled
ankle movement boot.
Exclusion Criteria:
- unwilling to participate
- being treated for an Achilles tendon rupture (and therefore being treated in a
controlled ankle boot with heel lifts)
- member of a special population
We found this trial at
1
site
1653 W. Congress Parkway
Chicago, Illinois 60612
Chicago, Illinois 60612
(312) 942-5000
Phone: 708-236-2664
Rush University Medical Center Rush University Medical Center encompasses a 664-bed hospital serving adults and...
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